Product Categories
Brands
Lofric
Coloplast
Hollister
Rusch
convatec
Instylan
SZIO+
Amici
TENA
UGO
Contact CathetersPLUS™
CathetersPlus™ is a division of:
Red Leaf Medical Inc.
Toll Free: 1-877-563-7422
info@cathetersplus.com

Patient Referral Form

ORDER SUPPLIES QR CODE ENG
How to refer your patients:
  • Upon completing the form, please use the submit button below to send it directly to our customer care team via email.

  • To have your patients complete the form themselves, please have them scan the QR code or visit www.cathetersplus.com/cathetersplus-order-supplies/

Patient
Product Information - Please select all that apply
Clinician Notes
Red Leaf Medical

For Offline use only.
Please download the PDF below and follow the instructions on the page to refer your patients to our customer care team